METHODIST MANOR HEALTH CENTER, INC. (NPI# 1518934264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518934264 |
| Entity Type | Organization |
| Organization Name | METHODIST MANOR HEALTH CENTER, INC. |
| Other Organization Name | MANOR PHARMACY - TRINITY |
| Practice Address |
7300 W Dean Rd Milwaukee WI 53223-2637 |
| Mailing Address |
3023 S 84th St West Allis WI 53227-3703 |
| Practice Telephone | 4143717381 |
| Practice Fax Number | 4143717525 |
| Mailing Telephone | 4146074100 |
| Mailing Fax Number | 4146074502 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2009-04-08 |
| Authorized Official Name | MR. JAMES ENLUND (PRESIDENT & CEO) |
| Authorized Official Telephone | 4146074100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 8439 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEA NUMBER | BM9024833 | 01 |
| WI | NCPDP NUMBER | 5128120 | 01 |
| WI | STATE LICENSE NUMBER | 8439 | 01 |
| WI | 33279600 | 05 |
| Other Name | Type Code |
|---|---|
| Manor Pharmacy - Trinity | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073580403 | Methodist Manor Health Center, Inc. | Pharmacy | 8615 W Beloit Rd, West Allis, WI 53227-3711 | 2006-03-03 |
| 1538136254 | Methodist Manor Health Center, Inc. | Family Medicine | 8520 W Oklahoma Ave, West Allis, WI 53227-4604 | 2006-03-01 |
| Street Address |
7300 W DEAN RD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53223-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700868825 | Elizabeth Nolder | Pharmacist | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2005-11-15 |
| 1578185476 | Robert Herrick | Physical Therapy Assistant | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2020-05-13 |
| 1841761707 | Kelsey Dykema | Occupational Therapist | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2018-12-17 |
| 1528537206 | Jennifer M Lashley | Physical Therapy Assistant | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2018-11-25 |
| 1982187316 | Bridget L Trigsted | Occupational Therapy Assistant | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2018-09-11 |
| 1811412786 | Samantha Kathryn Mannisto | Physical Therapist | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2017-08-11 |
| 1346580792 | Genesis Rehab Services | Skilled Nursing Facility | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2013-02-21 |
| 1902142300 | Christine Ward | Occupational Therapy Assistant | 7300 W Dean Rd, Milwaukee, WI 53223 | 2012-12-13 |
| 1255631230 | Dawn Marie Camara | Speech-Language Pathologist | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2010-10-25 |
| 1336313295 | Shirley Bradt | Physical Therapist | 7300 W Dean Rd, Milwaukee, WI 53223-2637 | 2008-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
| 1730725656 | Lekecia Ferguson | Case Manager/Care Coordinator | 7970 W Glendbrook Rd, Milwaukee, WI 53223 | 2019-11-26 |
| 1457994717 | Talitha Cumi | Specialist | 6239 West Boehlke Avenue, Tiana M. Jenkins, Mlwaukee, WI 53223 | 2019-10-18 |
| 1235627498 | Letitia Dotson | Licensed Practical Nurse | 9395 N 49th St, Apt 201, Brown Deer, WI 53223 | 2018-04-24 |
| 1588176002 | Courtney Erin Tomaszewski | Occupational Therapy Assistant | 7300 W. Dean Rd, Milwaukee, WI 53223 | 2017-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1346671302 | Atlantic Home Health Care, Inc | Home Health | 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 | 2013-12-02 |
| 1720415938 | Bell Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7229-7231 W. Brentwood Ave., Milwaukee, WI 53223 | 2013-10-02 |
| 1528405701 | Ground Support Logistics LLC | Driver | 8200 W Browndeer Rd, Milwaukee, WI 53223 | 2013-05-29 |
| 1801136288 | Nicole M. Rintelman | Registered Nurse | 4600 W. Schroeder Drive, Rogers Memorial Hospital, Brown Deer, WI 53223 | 2013-02-22 |
| Find all providers in zip 53223 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355002 | Long Life Pharmacy 2 LLC | Pharmacy | 1225 W Historic Mitchell St Ste 217, Milwaukee, WI 53204-3382 | 2020-11-01 |
| 1790333623 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200w, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1225686405 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200c, Milwaukee, WI 53226-3522 | 2019-08-30 |
| 1093287237 | Del Mar Pharmacy Sc | Pharmacy | 1000 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 | 2018-12-28 |
| 1154805422 | Wellnessscriptrx | Pharmacy | 159 N Jackson St Ste 105, Milwaukee, WI 53202-6169 | 2018-09-21 |
| 1437672797 | Life Change Rx LLC | Pharmacy | 1844 S 15th St, Milwaukee, WI 53204-3225 | 2017-07-19 |
| 1265965198 | Hayat Pharmacy 10 LLC | Pharmacy | 5308 W Burleigh St, Milwaukee, WI 53210-1622 | 2017-04-07 |
| 1053766071 | Hayat Pharmacy 9 LLC | Pharmacy | 8434 W Silver Spring Dr, Milwaukee, WI 53225-2824 | 2016-04-27 |
| 1780039024 | Medpack Pharmacy | Pharmacy | 7324 W Capitol Dr, Milwaukee, WI 53216-2062 | 2016-04-24 |
| 1972989861 | Walgreens | Pharmacy | 3528 S Clement Ave, Milwaukee, WI 53207-3502 | 2015-08-03 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.